Individual
DR. SCOTTY ROY HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 LONDONDERRY DR, SUITE 106, WACO, TX 76712-7924
(254) 776-4961
(254) 776-4964
Mailing address
405 LONDONDERRY DR, SUITE 106, WACO, TX 76712-7924
(254) 776-4961
(254) 776-4964
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G1917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 1917
STATE LISCENSE
TX
Enumeration date
10/04/2006
Last updated
04/23/2009
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